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Permit CITY OF TIGARD MECHANICAL � i � ;� DEVELOPMENT � SERVICES PERMIT #PERMIT • MEC98 -0557 _14 e DATE ISSUED: 12/14/98 PARCEL: 1S133DC- 14100 SITE ADDRESS...: 13134 SW SHORE DR . SUBDIVISION • ARI GREEN ZONING: R -12 BLOCK LOT •032 JURISDICTION: TIG CLASS OF WORK..:ALT FLOOR FURN....: 0 EVAP COOLERS: 0 TYPE OF USE -SF UNIT HEATERS..: 0 VENT FANS...: 0 OCCUPANCY GRP..:R3 VENTS W/0 APPL.: 0 VENT SYSTEMS: 1 STORIES • 0 BOILERS /COMPRESSORS HOODS : 0 FUEL TYPES 0 -3 HP • 0 DOMES. INCIN: 0 . 3 -15 HP • 0 COMML. INCIN: 0 MAX INPUT: 0 BTU 15 -30 HP • 0 REPAIR UNITS: 0 FIRE DAMPERS ?..: 30 -50 HP • 0 WOODSTOVES..: 1 GAS PRESSURE...: 50+ HP • 0 CLO DRYERS..: 0 NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.: 0 FURN < 1O0K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0 FURN > =100K BTU: 0 > 10000 cfm: 0 Remarks : Install gas insert and vent system. Owner: FEES -- BRIAN PORTER type amount by date recpt 13134 SW SHORE DRIVE MENU $ 0.00 GEO 12/14/98 98- 311499 TIGARD OR 97223 PRMT $ 25.00 GEO 12/14/98 98- 311499 5PCT $ 1.25 GEO 12/14/98 98- 311499 Phone #: 590 -5648 Contractor: LUDEMAN'S FIREPLACE & PATIO 12675 SW BEAVERDAM RD $ 26.25 TOTAL BEAVERTON OR 97005 -2129 Phone #: 646 -6409 Reg #..: 51469 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Gas Line Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Final I n s p e c t i o n applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-'0'40 through OAR 952- 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -9187. i Issue By: �`v Permittee Signature: , 4, . tl'i ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for inspections needed the next business day ++++++++++++++++++++++++++++++++ 4•+++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ CITY OF TIGARD Mechanical Permit A licati Plan Check# rf, pp on Recd By • 13125 SW HALL BLVD. Commercial and Residential Date Rec'd TIGARD, OR 97223 Date to P.E. (503) 639 -4171, x304 Date to DST Print or Type Permit# /✓F - - 65 - Incomplete or illegible applications will not be accepted Called , .8� Name of Development/Project Description ,7 -,9,/y S(0-"NE Table 1A Mechanical Code Qty Price Amt Job Street Address Suite# A) Permit Fee 1 ":" . k :'! 10.00 / s 6 (/ S n 1) Furnace to 100,000 BTU Address 1 S V ,e including ducts 8 vents 6.00 Bldg# City /State Zip 2) Furnace 100,000 BTU+ I(/P7Ol cn ? 3 (' including ducts & vents 7.50 Na (or name of busi ) 3) Floor Furnace Owner # 07-7 izepr e t✓ including vent 6.00 Mailing Address �� 9 4) Suspended heater, wall heater �� or floor mounted heater 6.00 13/3 �>_/' / C,/„ ' 5 ) Vent not included in appliance permit Cityg, ate Zip �+� Phone 3.00 ! ( O 4' '7 43 {/ CHECK ALL `Boiler Heat Air Name name of business) THAT APPLY: or Pump Cond Qty Price Amt .I r� Comp � +4, G �04.�� 6) <3HP;absorb unit to Occupant Mailing Address P 100K BTU 6.00 /3/3 '( (� }) v / I( 5 ,3J 7) 3 -15 HP;absorb unit City /State Zip Pho 100k to 500k BTU 11.00 7 1 61 0k c `,21 J-70-6(/ 2 f � 8) 15 -30 HP; absorb Contractor Name /� Z � unit .5 -1 mil BTU 15.00 ��t�iC 5 u) 30 -50 HP; absorb unit 1 -1.75 mil BTU 22.50 Prior to permit M ili g Ad ss &41.- 10) >50HP; absorb unit issuance, a copy i‘..4' ' 7 � )v(/ i fl JV7 i (p s' >1.75 mil BTU _ 37.50 of all licenses C)� e7 c'" Phone - 11) Air handling unit to 10,000 CFM are required if ',J C� - , -- => 4.50 expired in COT Oregon Co�r. C�9 B 9er d Lic.# Exp. Date 12) Air handling unit 10,000 CFM+ database < 7(p `7 7.50 Architect Name 13) Non - portable evaporate cooler 4.50 or Mailing Address 14) Vent fan connected to a single duct 3.00 15) Ventilation system not included in Engineer City /State Zip Phone appliance permit 4.50 '7" 0 16) Hood served by mechanical exhaust Describe work to be done: 4.50 17) Domestic incinerators New 0 Rel}air 0 Replace with like kind: Yes 0 No 0 7.50 Residential'' Commercial 0 18) Commercial or industrial type incinerator 30.00 Additional info ation r description of work: 19) Repair units k4 u / 1 q&, / `7 '5'v6 20) Wood stove 4.50 ,� �ev� 4.50 /' 21) Clothes dryer, etc. 4.50 Type of fuel: oil 0 natural gas, LPG 0 electric 0 22) Other units 4.50 I hereby acknowledge that I have read this application, that the information 23) Gas piping one to four outlets given is correct, that I am the owner or authorized agent of 2.00 2- the owner, that plans submitted are in compliance with Oregon State laws. 24) More than 4 -per outlet (each) .50 Signature f • • 'er /Agent Date re . , _ i� 0 I � � � Minimum Permit Fee $25.00 SUBTOTAL a - - 440_ , •Z� 4 5% SURCHARGE . , .,. i• Contact Pe • •n Name Phone PLAN REVIEW 25% OF SUBTOTAL ;°' '= - ' °t' '4. Required for ALL commercial permits only '- i <r re&Z'' GG TOTAL *State Contractor Boiler Certification required **Residential A/C requires site plan showing placement of unit I:\ mechperm.doc rev 07/20/98 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 /W /_ �7 BUP �05� Date Requested 1� 1 / AM / / o PM BLD Location /3 / 34 SW S % / ► ' Suite /� CP ' -055 7 Contact Person M Peva Ph 5 90 -5-6 4 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab / SIT Post ost & Beam Ext Sheath /Shear Int Sheth /Shear / 1 /S �� - Framing c Uc 1 '� �-- Insulation TQ 3 4 e 4 tq V Drywall Nailing 1 S Firewall Fire Sprinkler Fire Alarm �� i, _ - Q Susp'd Ceiling /(/l �' G�� Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final C FAIL HANICAL �'� f J ^ Post & Beam ri g n D pets PART FAIL CTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk v � ; Other Date 2 /f 4 Inspector v" Ex ( 9 Final . PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD MECHANICAL � i � ;� DEVELOPMENT � SERVICES PERMIT #PERMIT • MEC98 -0557 _14 e DATE ISSUED: 12/14/98 PARCEL: 1S133DC- 14100 SITE ADDRESS...: 13134 SW SHORE DR . SUBDIVISION • ARI GREEN ZONING: R -12 BLOCK LOT •032 JURISDICTION: TIG CLASS OF WORK..:ALT FLOOR FURN....: 0 EVAP COOLERS: 0 TYPE OF USE -SF UNIT HEATERS..: 0 VENT FANS...: 0 OCCUPANCY GRP..:R3 VENTS W/0 APPL.: 0 VENT SYSTEMS: 1 STORIES • 0 BOILERS /COMPRESSORS HOODS : 0 FUEL TYPES 0 -3 HP • 0 DOMES. INCIN: 0 . 3 -15 HP • 0 COMML. INCIN: 0 MAX INPUT: 0 BTU 15 -30 HP • 0 REPAIR UNITS: 0 FIRE DAMPERS ?..: 30 -50 HP • 0 WOODSTOVES..: 1 GAS PRESSURE...: 50+ HP • 0 CLO DRYERS..: 0 NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.: 0 FURN < 1O0K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0 FURN > =100K BTU: 0 > 10000 cfm: 0 Remarks : Install gas insert and vent system. Owner: FEES -- BRIAN PORTER type amount by date recpt 13134 SW SHORE DRIVE MENU $ 0.00 GEO 12/14/98 98- 311499 TIGARD OR 97223 PRMT $ 25.00 GEO 12/14/98 98- 311499 5PCT $ 1.25 GEO 12/14/98 98- 311499 Phone #: 590 -5648 Contractor: LUDEMAN'S FIREPLACE & PATIO 12675 SW BEAVERDAM RD $ 26.25 TOTAL BEAVERTON OR 97005 -2129 Phone #: 646 -6409 Reg #..: 51469 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Gas Line Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Final I n s p e c t i o n applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-'0'40 through OAR 952- 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -9187. i Issue By: �`v Permittee Signature: , 4, . tl'i ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for inspections needed the next business day ++++++++++++++++++++++++++++++++ 4•+++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++